Risk and Compliance - Healthcare - Senior Manager

JOB REQUISITION

Risk and Compliance - Healthcare - Senior Manager

LOCATION

BOSTON

ADDITIONAL LOCATION(S)

NEW YORK CITY, SAN FRANCISCO, SEATTLE

JOB DESCRIPTION

You Belong Here

The Protiviti Career provides opportunity to learn, inspire, and advance within a collaborative and inclusive culture. We hire curious individuals for whom learning is a passion.

We lean into our mission : We Care. We Collaborate. We Deliver.

At every level, we champion leaders who live our values of integrity, inclusion, innovation, and commitment to success . Imagining our work as a journey, we believe integrity guides our way, inclusion moves us forward together, innovation creates new destinations, and our commitment to success empowers us to deliver on our vision to be the most trusted global consulting firm.

Where We Need You

Protiviti is looking for a Risk and Compliance Senior Manager to join our growing Healthcare team.

Protiviti's Financial Services practice is widely recognized as a leading provider of consulting services across the three lines of defense for financial institutions.

We empower our clients to be more effective and efficient in a way that is risk-sensitive, regulatory compliant, well controlled, and enabled by leading technologies.

What You Can Expect

As a Senior Manager, you'll partner with our clients to identify and manage risk. You'll develop strategies to solve complex business problems using new ways of thinking, and devise solutions to support your clients' needs through using the latest tools and methods.

You'll develop lasting relationships with client personnel and further these relationships through quality product delivery.

You'll foster a network within the business community and serve as an ambassador of Protiviti in the market. You will also be a mentor and provide performance development to teams as you oversee the successful completion of project work plans.

FSI only) : By focusing on clients and engagements in the financial services industry, you'll partner with highly regulated clients and deepen your expertise in financial services regulations.

What Will Help You Be Successful

• You are motivated to learn and interested in all things related to the healthcare industry, including the latest trends and developments.
• You are passionate about building relationships with clients and providing clients with exceptional experiences.
• You have an inherent interest in project management and team leadership.
• You contribute to a positive team culture that fosters open communication among all engagement team members.
• You create development opportunities for others and ways for your team to improve our clients and communities.
• You have interest in working with a diverse portfolio of clients across the financial services industry.

Do Your Talents Include the Following?

• Experience with or understanding of :
• Expert understanding of healthcare payer regulations and guidance with emphasis on the Medicare Managed Care Manual.
• Expertise of core business processes related to payer practices.
• Expert understanding of commonly used internal control frameworks, risk frameworks and regulatory / compliance methodologies.
• Expertise of risk assessment methodologies and developing key deliverables, including process flows, work programs, reports, and control summaries
• Ability to multi-task and oversee multiple engagements and work streams with various clients.
• Strong ability to work with a diverse portfolio of clients across the healthcare payer sector.
• Evaluating, summarizing, organizing, and interpreting data.
• Establishing and cultivating business relationships and a professional network.

Your Educational and Professional Qualifications

• Bachelor's degree from accredited university in relevant academic area (e.g. Nursing, Economics, Business, Finance, or Other Related Field) or equivalent relevant work experience.
• 7+ years working in payer environment, health plan, law firm, consulting or related field, either in professional services or industry.
• Knowledge of healthcare payer regulatory requirements, including Medicare Advantage.
• Proficiency in Microsoft Office suite applications with specific emphasis on Word, Excel and PowerPoint. Secondary emphasis on Visio and Access.
• Juris Doctor preferred.
• Professional Certification such as HCCA's CHC or similar preferred.

Our Hybrid Workplace

Protiviti practices a hybrid model, which is a combination of working in person with a purpose and working remotely. This model creates meaningful experiences for our people and our clients while offering a flexible environment.

The ratio of remote to in-person requirements vary by client, project, team, and other business factors. Our people work both in-person in local Protiviti offices and on client sites, which can include local or out-of-state travel based on our projects and client requests and commitments.

Protiviti is not registered to hire or employ personnel in the following states - West Virginia, Alaska.

LI-Hybrid

Starting salary is based on a full-time equivalent schedule. Placement in the range is dependent upon experience, skills and geographic work location.

Below is the salary range for this job.

$117,000.00 - $188,000.00

Our annual bonus plan provides eligible employees additional cash and / or discretionary stock compensation opportunities.

Below is the bonus target opportunity for this job.

The total cash range is estimated from the sum of the base salary range plus the bonus target opportunity. Below is the estimated total cash range for this job.

$133,380.00 - $214,320.00

Employees are eligible for medical, dental, and vision coverages, FSA and HSA healthcare accounts, life and accident insurance, adoption and fertility assistance, paid parental leave up to 10 weeks, and short / long term disability.

We offer eligible employees a company 401(k) savings and investment plan with an employer match of 50% on the first 6% of your contributions.

We provide Choice Time Off (CTO) for vacation, personal needs, and sick time. The amount of (CTO) varies based on years of service.

New hires receive up to 20 days of CTO per calendar year. Protiviti also recognizes up to 11 paid holidays each calendar year.

Learn more about the variety of rewards we offer at Protiviti at https : / / www.protiviti.com / sites / default / files / 2023-12 / 2024-benefit-highlights.pdf.

Any benefits outlined are part of our reward offerings for full-time employees in the U.S. Your Open Enrollment materials, insurance contracts, plan documents and Summary Plan Descriptions together comprise the official plan document which legally governs the administration of your benefit plans.

Protiviti reserves the right to terminate or amend your benefit plans in any way and at any time.

Protiviti is an Equal Opportunity Employer. M / F / Disability / Veteran

As part of Protiviti's employment process, any offer of employment is contingent upon successful completion of a background check.

Protiviti is committed to being an equal employment employer offering opportunities to all job seekers, including individuals with disabilities.

If you believe you need a reasonable accommodation in order to search for a job opening or to apply for a position, please contact us by sending an email to HRS redacted or call redacted for assistance.

In your email please include the following :

• The specific accommodation requested to complete the employment application.
• The location(s) (city, state) to which you would like to apply.

For positions located in San Francisco, CA : Protiviti will consider qualified applicants with criminal histories in a manner consistent with the requirements of the San Francisco Fair Chance Ordinance.

For positions located in Los Angeles County, CA : Protiviti will consider for employment qualified applicants with arrest or conviction records in accordance with the Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act.

Protiviti is not registered to hire or employ personnel in the following states - West Virginia, Alaska.

Protiviti is not licensed or registered as a public accounting firm and does not issue opinions on financial statements or offer attestation services.

JOB LOCATION

MA BOSTON